Publications by authors named "Marta R Souza"

Article Synopsis
  • The study investigated how children of non-depressed mothers performed better on developmental tests at age 3 compared to those with depressed mothers, focusing on a sample from Brazil.
  • Analysis involved assessing maternal depression and children's development over three years using established measurement tools.
  • Results showed that persistent maternal depression negatively impacted child development, highlighting the need to prioritize the identification of women at risk for depression in maternal and child health initiatives.
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Background: Women living in low- and middle-income countries are more exposed to known risk factors for depression occurrence and persistency over time.

Aim: Our aim was to investigate the course of depression in the first 2 years postpartum among Brazilian women enrolled in a cash transfer program.

Method: Longitudinal analysis of baseline (T0; mean 3.

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Article Synopsis
  • The Happy Child Program in Brazil targets 1.4 million children under three to promote their neuropsychomotor development through home visits.
  • A study involving 3,242 children found no significant differences in development scores between the intervention group and the control group after three years, even with adjustments for various factors.
  • The findings suggest that the program faced challenges like low engagement, mixed implementation quality, and lack of impact, providing insights for future improvements.
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  • The study investigated the socioeconomic, family, and individual factors affecting infant development in vulnerable families in Brazil, using data from 3,242 children under 12 months across 30 municipalities.
  • The research utilized the Ages and Stages Questionnaire (ASQ) to evaluate development, finding that preterm birth and intrauterine growth restriction significantly lowered scores, particularly among children born to mothers with low education and depressive symptoms.
  • Key factors identified as having a major impact on infant development included maternal education, mental health, and specific health issues like prematurity, with implications for targeted interventions to support vulnerable families.
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Objective: To assess vaccination coverage, based on the National Immunization Program schedule, among children receiving financial support from the Family Income Transfer Program, Brazil, according to the family socioeconomic status and maternal characteristics.

Methods: 3,242 children under 12 months old were assessed between August/2018 and April/2019, of whom 3,008 were reassessed between September/2019 and January/2020. The analyses were performed using multilevel models (level 3, Federative Unit; level 2, municipality; level 1, children).

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Article Synopsis
  • The study aimed to examine factors linked to postpartum depression among mothers from socially vulnerable families in Brazil, utilizing data from a randomized trial involving over 3,200 children under 12 months.
  • Out of 3,174 mothers assessed, 26.5% exhibited depressive symptoms, with higher parity (having multiple previous pregnancies) significantly increasing the likelihood of depression.
  • Protective factors against postpartum depression included higher educational levels for both parents, support during pregnancy, and having a partner present.
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Objective: To compare primary health care (PHC) actions taken to care for chronic non-communicable diseases (NCDs) in the state of Goiás, Brazil, between 2012 and 2014.

Methods: This was a descriptive study using secondary data from the National Program for Improving Primary Care Access and Quality (PMAQ-AB). The proportions of teams performing actions to address NCDs were compared between PMAQ-AB cycles I and II using the McNemar test for paired samples.

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The most common cause of death worldwide is noncommunicable diseases. A cross-sectional study was conducted to evaluate the adequacy of the work process among family health teams and compare differences in regional adequacy in the state of Tocantins, in the Amazonian Region, Brazil. Categorical principal components analysis was used, and scores of each principal component extracted in the analysis were compared among health regions in Tocantins.

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Background: This cross-sectional study evaluated the adequacy of the Family Health Strategy for the primary care model for chronic noncommunicable diseases and the changes that occurred between the two cycles of external evaluations of the National Program for Improving Access and Quality of Primary Care, which took place in 2012 and 2014, in the higher coverage context of the Family Health Strategy of Brazil, in the state of Tocantins, Brazil.

Methods: The data source contained information on the infrastructure of the 233 Primary Health Units and on the work process of 266 health teams. The Principal Component Analysis for Categorical Data technique and the McNemar chi-squared statistical test for comparing paired samples were used, and a significance level of 5% with a 95% Confidence Interval was used.

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Objective: To analyze the temporal trend of leprosy indicators in a hyperendemic state of Brazil, from 2001-2015.

Methods: This is a time-series study of leprosy indicators in the state of Maranhão, Northeastern region of Brazil. The study used data from the Brazilian National System of Reportable Diseases, for the period between 2001 and 2015.

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Objective: To establish a historical series of fetal mortality in Brazil and regions between 1996 and 2015, identifying its behavior and trend.

Methods: A descriptive study on cases of fetal deaths in Brazil and in each region reported from 1996 to 2015, registered in DATASUS and classified by ICD-10. Maternal age and schooling, duration of gestation and type of delivery were considered.

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: To estimate the prevalence and risk factors for self-reported diabetes mellitus (DM) in adults from the State of Maranhão, Northeastern Brazil. : A cross-sectional study was carried out with 1774 individuals aged ≥18 years participating in the National Health Survey of 2013 in Maranhão. The adults were selected by probabilistic sampling and interviewed face-to-face by in-home visits.

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Background: Oral cancer is a potentially fatal disease, especially when diagnosed in advanced stages. In Brazil, the primary health care (PHC) system is responsible for promoting oral health in order to prevent oral diseases. However, there is insufficient evidence to assess whether actions of the PHC system have some effect on the morbidity and mortality from oral cancer.

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Background: Unequal distribution of emergency care services is a critical barrier to be overcome to assure access to emergency and surgical care. Considering this context it was objective of the present work analyze geographic access barriers to emergency care services in Brazil. A secondary aim of the study is to define possible roles to be assumed by small hospitals in the Brazilian healthcare network to overcome geographic access challenges.

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Cervical cancer is a common neoplasm that is responsible for nearly 230 000 deaths annually in Brazil. Despite this burden, cervical cancer is considered preventable with appropriate care. We conducted a longitudinal ecological study from 2002 to 2012 to examine the relationship between the delivery of preventive primary care and cervical cancer mortality rates in Brazil.

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Objective: to describe the profile of victims with injuries caused by firearm projectiles and the cost of treatment at a referral hospital in Midwestern Brazil belonging to the Viva Sentinela Network.

Methods: a descriptive study with convenience samplie was conducted from January to March 2013; data sources were interviews, patients' medical records, and the hospital statistics department.

Results: the 150 victims who participated were predominantly male (94.

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Purpose: To describe the mortality of female breast cancer in Brazil according to color, in the years 2000 and 2010.

Methods: A descriptive study in which demographic data were obtained from the Brazilian Institute of Geography and Statistics (IBGE). The breast cancer death information in Brazil was collected from the Ministry of Health through the Mortality Information System (SIM).

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Background: Breast cancer is the most common cause of death from cancer in women in less developed regions. Therefore, the objective of this study was to provide data on the temporal trends in female breast cancer mortality between 1990 and 2011 and to evaluate its association with the social inequalities present in Brazil.

Methods: Breast cancer mortality data and estimates for the resident population were obtained from the Brazilian National Health Service database for the 1990-2011 period.

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Objectives: To evaluate trends in breast cancer mortality in urban centers and rural areas of Brazil.

Methods: Ecological time-series study using data on breast cancer deaths and census. Mortality trends were analyzed using change-point regression: 1980-2010.

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The population ageing is a challenge for health professionals. This study seek to evaluate the functional capacity and to identify the factors associated to the dependence for the activities of daily life (ADL) and activities instrumental of daily life (AIDL), and also to describe the socioeconomic, demographic and health profile of the elderly. A transverse study was carried out with seniors assisted by Family Health teams of the District East Sanitary of Goiania (GO).

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During the last three decades, Brazilians have relied almost exclusively on two contraceptive methods, the pill and female sterilization, with sterilization use increasing over time. Until a new law was passed in 1997, sterilization was virtually illegal and not covered by either public or private health insurance. It was, however, frequently provided in public and private hospitals in conjunction with a cesarean section.

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